STOP-Bang as a predictor of obstructive sleep apnea-hypopnea syndrome in outpatients

• Autores: Jonn Pedrozo Pupo, Jorge Armando Egurrola Pedraza, Adalberto Campo Arias
• Localización: Duazary: Revista internacional de Ciencias de la Salud, ISSN-e 2389-783X, ISSN 1794-5992, Vol. 18, Nº. 4, 2021 (Ejemplar dedicado a: (October - December)), págs. 344-349
• Idioma: inglés
• DOI: 10.21676/2389783X.4371
• Títulos paralelos:
  • STOP-Bang como predictor de apnea-hipopnea obstructiva del sueño en pacientes ambulatorios
• Enlaces
  • Texto completo
• Resumen
  • español

    El STOP-Bang ha sido promocionado como una herramienta útil para identificar casos de síndrome de apnea/hipoapnea obstructiva del sueño (SAHOS) en pacientes médicos y quirúrgicos. Sin embargo, no se conoce su desempeño en muestras colombianas. El objetivo de este estudio fue determinar el desempeño clinimétrico del índice STOP-Bang frente a polisomnografía en pacientes de Santa Marta, Colombia. Se diseñó un estudio de precisión de una prueba de diagnóstico. Se contó con la participación de 762 adultos que fueron remitidos para polisomnografía. Se solicitó la participación de adultos (entre 18 y 94 años; media=47,2; DE=13,4); 63,3% hombres y 46,5% obesos. El rendimiento del STOP-Bang se comparó frente el mejor criterio de referencia, el índice de hipopnea/apnea determinado por polisomnografía. El diagnóstico de SAHOS se confirmó en 461 (60,5%) y se corroboró en 301 (39,5%). El área bajo la curva fue 0,70 (IC95% 0,66-0,74) y el mejor punto de corte fue 4, con sensibilidad de 79,2%, especificidad de 53,5%, valor predictivo positivo de 72,2%, valor predictivo negativo de 62,6%, razón de probabilidad positiva de 1,70, razón de probabilidad negativa de 0,39; OR=4,08 (IC95% 2,99-5,56) y kappa de Cohen de 0,33. Como conclusiones, los indicadores de desempeño en conjunto muestran que STOP-Bang...

  • English

    The STOP-Bang has been promoted as a valuable tool for identifying obstructive sleep apnea-hypopnea syndrome (OSAHS) in medical and surgical patients. However, its performance in Colombian samples is unknown. The objective of this study was to determine the clinimetric performance of the STOP-Bang index versus the study of polysomnography in patients from Santa Marta, Colombia. An accuracy study of diagnostic tests with a test-based approach was designed. Seven hundred sixty-two adults referred for polysomnography to evaluate OSAHS were included in the research. They were aged between 18 and 94 years old (mean=47.2, SD=13.4), 63.3% were men, and 46.5% were classified as obese. The STOP-Bang performance was compared against the best reference criterion, the hypopnea/apnea index determined by polysomnography. The diagnosis of OSAHS was confirmed in 461 (60.5%) and corroborated in 301 (39.5%). The area under the curve was 0.70 (95%CI 0.66-0.74), and the best cut-off point was 4, with a sensitivity of 79.2%, a specificity of 53.5%, the positive predictive value of 72.2%, the negative predictive value of 62.6%, positive likelihood ratio was 1.70, negative likelihood ratio was 0.39; OR=4.08 (CI95% 2.99-5.56) and Cohen's kappa of 0.33. As conclusions, performance indicators show that STOP-Bang...

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